| NPI | 1780840215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HAWK Operating Manager 319-721-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |